With Vertical AI, We Unlock Access Where Care Is Most Complex
Authorization, forecasting, policies, risk assessment, compliance, revenue
We predict and prevent claim denials
Hospitals face mounting claim denials and shifting payer rules. GammaLex’s Vertical AI delivers real-time intelligence at the point of decision—anticipating denials before they impact revenue and bridging gaps between medicine, law, and policy.
The ROI?
We deliver clinical intelligence and real-time compliance
Clinicians and legal teams need defensible documentation and audit readiness as payer rules evolve. GammaLex provides real-time, source-backed guidance and instant risk assessment for every claim, keeping teams compliant and audit-ready.
We forecast authorizations and optimize revenue
Complex billing and opaque workflows limit care access and disrupt revenue flow. GammaLex forecasts authorizations in real time, adapts to payer changes, and turns complex billing into predictable, optimized revenue.
We solve high-stake specialty denials before they start
We’re starting with radiology, where denial risk is highest and complexity is greatest. Every specialty faces unique authorization and denial challenges. GammaLex’s AI adapts to each specialty’s data and payer history, providing daily forecasts and precise denial predictions ßeven in volatile environments.
We deliver sustainable competitive advantage
GammaLex’s proprietary AI, trained on specialty-specific data, creates strong barriers to entry and lasting differentiation. Built for rapid adaptation, the platform scales seamlessly with evolving payer rules and expanding markets.
We prevent billions in financial losses
Clinical delays aren’t just medical—they’re financial crises. 92% of radiation oncologists report authorization delays, sending costs rippling through the system.
In 2022, hospitals spent $19.7B fighting denials—rising 23% to $25.7B in 2023. Another $10.6B was lost to overturned claims.
GammaLex’s Vertical AI prevents these losses by anticipating denials, reducing admin burden, and ensuring proper authorization from the start.